City and County of San Francisco
Patient Accounts Clerk (1637) - Dept. of Public Health - (H00171)
City and County of San Francisco, San Francisco, California, United States, 94199
Patient Accounts Clerk (1637) – Dept. of Public Health (H00171)
Join to apply for the
Patient Accounts Clerk (1637) – Dept. of Public Health (H00171)
role at
City and County of San Francisco .
Base pay range: $88,322.00/yr – $107,354.00/yr.
Application Opening: Friday, September 26, 2025
Application Deadline: Friday, October 10, 2025
Appointment Type: Permanent Civil Service
Recruitment ID: CBT-1637-H00171
The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions – the San Francisco Health Network and Population Health. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.
Role Description Under general supervision, the 1637 Patient Accounts Clerk collects payments on delinquent accounts for services that have been rendered to patients of the Department of Public Health.
Reviews and edits bills and claims to make sure the information is accurate and complete.
Collects payments on outstanding accounts for which tracers have already been sent according to predetermined schedules.
Performs the more technically difficult or complicated billing, accounts receivable, or collections work of the unit, including preparing spreadsheets on more difficult accounts.
Compiles information and prepares all documents for transferring outstanding accounts to the Bureau of Delinquent Revenue of the Tax Collector’s Office following procedures as specified in the City Charter.
Handles specialized accounts, such as the "full bill" accounts in which payments are made directly by the patient rather than by a third‑party payor and accounts involving lawsuits and estates.
Communicates with patients, physicians, insurance representatives and other for the purpose of collecting payments.
The 1637 Patient Accounts Clerk also performs other related duties as required.
How to Qualify Minimum Qualifications – Required
Experience: Eighteen (18) months (equivalent to 3,000 hours) of experience billing, claims processing and/or collecting healthcare service reimbursements or medical claims from Medi‑Cal (Medicaid), Medicare, insurance, third‑party payors, and individual payors in a hospital, healthcare agency, or healthcare billing organization.
Substitution: Completion of fifteen (15) semester units or twenty‑two (22) quarter units of medical billing‑related coursework from an accredited college or university may substitute for six (6) months of qualifying experience.
Applicants must meet the minimum qualification requirements by the final filing date unless otherwise noted. One year of full‑time employment is equivalent to 2,000 hours (1,000 hours on a 40‑hour work week). Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Verification of qualifying education and experience may be required at any point during the recruitment and selection process. Misrepresentation may disqualify you from this recruitment or future job opportunities.
Selection Procedures Written Examination (Weight: 100%): Candidates that meet the minimum qualifications will be invited to participate in a multiple‑choice exam that measures knowledge, skills and abilities in job‑related areas, including complex government and commercial regulations applicable to billing, priority of billing for Medicare and Medi‑Cal, accounts receivable procedures, credit interviewing techniques, mathematical calculations, interpretation of complex laws and regulations, judgment in determining follow‑up actions, and effective communication skills.
Candidates must achieve a passing score on the multiple‑choice exam to continue in the selection process and will be placed on a confidential eligible list in rank order according to their final score. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
Certification rule for the eligible list will be the Rule of 10 Scores.
How to Apply Applications for City and County of San Francisco jobs are only accepted through an online process. Visit
careers.sf.gov
and begin the application process.
Applicants may be contacted by email about this recruitment; therefore, it is their responsibility to ensure their email address is current. Applicants will receive a confirmation email upon receiving their online application. If no confirmation is received, the application was not submitted or received.
Terms of Announcement and Appeal Rights: Applicants must abide by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws. Appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103‑5413 by the close of business on the 5th business day following the issuance date of this examination announcement. Additional information about appeal rights can be found on the Civil Service Commission website.
Additional Information Regarding Employment with the City and County of San Francisco
Information About the Hiring Process
Conviction History
Employee Benefits Overview
Equal Employment Opportunity
Disaster Service Worker
ADA Accommodation
Veterans Preference
Seniority Credit in Promotional Exams
Right to Work
Copies of Application Documents
Diversity Statement
Contact the analyst, Herbert Chau, at
herbert.chau@sfdph.org
or (628) 271‑6707 for any questions regarding this recruitment or application process.
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.
Seniority Level
Entry level
Employment Type
Full-time
Job Function
Health Care Provider
Hospitals and Health Care (Industries)
#J-18808-Ljbffr
Patient Accounts Clerk (1637) – Dept. of Public Health (H00171)
role at
City and County of San Francisco .
Base pay range: $88,322.00/yr – $107,354.00/yr.
Application Opening: Friday, September 26, 2025
Application Deadline: Friday, October 10, 2025
Appointment Type: Permanent Civil Service
Recruitment ID: CBT-1637-H00171
The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of two main Divisions – the San Francisco Health Network and Population Health. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.
Role Description Under general supervision, the 1637 Patient Accounts Clerk collects payments on delinquent accounts for services that have been rendered to patients of the Department of Public Health.
Reviews and edits bills and claims to make sure the information is accurate and complete.
Collects payments on outstanding accounts for which tracers have already been sent according to predetermined schedules.
Performs the more technically difficult or complicated billing, accounts receivable, or collections work of the unit, including preparing spreadsheets on more difficult accounts.
Compiles information and prepares all documents for transferring outstanding accounts to the Bureau of Delinquent Revenue of the Tax Collector’s Office following procedures as specified in the City Charter.
Handles specialized accounts, such as the "full bill" accounts in which payments are made directly by the patient rather than by a third‑party payor and accounts involving lawsuits and estates.
Communicates with patients, physicians, insurance representatives and other for the purpose of collecting payments.
The 1637 Patient Accounts Clerk also performs other related duties as required.
How to Qualify Minimum Qualifications – Required
Experience: Eighteen (18) months (equivalent to 3,000 hours) of experience billing, claims processing and/or collecting healthcare service reimbursements or medical claims from Medi‑Cal (Medicaid), Medicare, insurance, third‑party payors, and individual payors in a hospital, healthcare agency, or healthcare billing organization.
Substitution: Completion of fifteen (15) semester units or twenty‑two (22) quarter units of medical billing‑related coursework from an accredited college or university may substitute for six (6) months of qualifying experience.
Applicants must meet the minimum qualification requirements by the final filing date unless otherwise noted. One year of full‑time employment is equivalent to 2,000 hours (1,000 hours on a 40‑hour work week). Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Verification of qualifying education and experience may be required at any point during the recruitment and selection process. Misrepresentation may disqualify you from this recruitment or future job opportunities.
Selection Procedures Written Examination (Weight: 100%): Candidates that meet the minimum qualifications will be invited to participate in a multiple‑choice exam that measures knowledge, skills and abilities in job‑related areas, including complex government and commercial regulations applicable to billing, priority of billing for Medicare and Medi‑Cal, accounts receivable procedures, credit interviewing techniques, mathematical calculations, interpretation of complex laws and regulations, judgment in determining follow‑up actions, and effective communication skills.
Candidates must achieve a passing score on the multiple‑choice exam to continue in the selection process and will be placed on a confidential eligible list in rank order according to their final score. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
Certification rule for the eligible list will be the Rule of 10 Scores.
How to Apply Applications for City and County of San Francisco jobs are only accepted through an online process. Visit
careers.sf.gov
and begin the application process.
Applicants may be contacted by email about this recruitment; therefore, it is their responsibility to ensure their email address is current. Applicants will receive a confirmation email upon receiving their online application. If no confirmation is received, the application was not submitted or received.
Terms of Announcement and Appeal Rights: Applicants must abide by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws. Appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103‑5413 by the close of business on the 5th business day following the issuance date of this examination announcement. Additional information about appeal rights can be found on the Civil Service Commission website.
Additional Information Regarding Employment with the City and County of San Francisco
Information About the Hiring Process
Conviction History
Employee Benefits Overview
Equal Employment Opportunity
Disaster Service Worker
ADA Accommodation
Veterans Preference
Seniority Credit in Promotional Exams
Right to Work
Copies of Application Documents
Diversity Statement
Contact the analyst, Herbert Chau, at
herbert.chau@sfdph.org
or (628) 271‑6707 for any questions regarding this recruitment or application process.
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.
Seniority Level
Entry level
Employment Type
Full-time
Job Function
Health Care Provider
Hospitals and Health Care (Industries)
#J-18808-Ljbffr